Beth Anderson, BSN, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN095593 Issued in AZ

Practice address

21220 N 83Rd Ave
Peoria, AZ 85382-2436

Phone

(623) 487-5131

Fax

(623) 487-5140

NPI assigned

Sep 9, 2016

Last updated

Sep 9, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peoria Unified School District #11

  • Local Education Agency (LEA)
  • Glendale, AZ
  • NPI 1790807626
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1700333549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 W THUNDERBIRD RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064002",
            "telephone_number": "623-487-5189",
            "fax_number": "623-487-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21220 N 83RD AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822436",
            "telephone_number": "623-487-5131",
            "fax_number": "623-487-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "BETH",
        "credential": "BSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN095593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• An Elegant Smile P.C. (An Elegant Smile Denistry)
• Kishlay Anand, M.D.
• Daniel C Anaya, LMT
• Devney Nicole Anaya, SLPA
• Lucindy Anderson-Brown
• Darren Anderson, DMD
• Ethan Anderson, DPT
• Fordyce W Anderson, PT
• Kanesha Anderson
• Matthew R Anderson, M.D.

• School Registered Nurse in Peoria, AZ
• Providers in Peoria, AZ by specialty
• School Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.